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SAN J OA U I Environmental Health Department <br /> COUNTY <br /> — <br /> Hazardous Materials Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> PANERA BREAD#968 2533 KETTLEMAN LN, LODI June 23, 2021 <br /> Violations <br /> 1055 1 See below Unlisted Abandonment/Illegal Disposal/Unauthorized Treatment-Local Ordinance ❑V ❑R ❑COS <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS II,or MINOR-Notice to Comply) <br /> Item# Remarks <br /> 4 HSC 25508(a)(1) Failed to electronically submit the Business Activities or Owner/Operator Identification page. <br /> OBSERVATION: The Business Activities and Owner/Operator Identification pages have not been annually <br /> certified/submitted as a part of the business. The Business Activities and Owner/Operator Identification pages have <br /> not been were not submitted for 2019, 2020, and 2021. The Business Activities and Owner/Operator Identification <br /> pages have not been since July 25, 2018. <br /> REGULATION GUIDANCE: Per H&SC 25508.2, the business owner/operator shall annually review and certify that <br /> the business plan is complete, accurate, up-to-date and in compliance with Section 11022 of Title 42 of the United <br /> States Code. An annual electronic submittal satisfies these requirements. The annual business plan shall be <br /> submitted/certified by January 15 of each calendar year and may be submitted beginning November 1 of the <br /> previous year. <br /> CORRECTIVE ACTION: Immediately log into the CERS at http://cers.calepa.ca.gov/, review and submit/certify the <br /> current information. <br /> OBSERVATION: The Business Owner/Operator Identification form was not accurate. Meghann Broderick does not <br /> work for this facility and is not the secondary emergency contact <br /> REGULATION GUIDANCE: This information must be current and submitted as part of the business plan. <br /> CORRECTIVE ACTION: Immediately log into the California Environmental Reporting System (CERS) at <br /> http://cers.calep;a.ca.gov/, enter the correct or updated information, and submit to the EHD for approval. <br /> This is a repeat violation, Class 11. <br /> 5 HSC 25505(a)(1) Failed to electronically submit hazardous materials inventory for all reportable materials on site. <br /> OBSERVATION: The hazardous materials inventory has not been annually certified/submitted as a part of the <br /> business plan. The hazardous materials inventory was not submitted for 2019, 2020, and 2021. The hazardous <br /> materials inventory has not been submitted since July 25, 2018. <br /> REGULATION GUIDANCE: Per H&SC 25508.2, the business owner/operator shall annually review and certify that <br /> the business plan is complete, accurate, up-to-date and in compliance with Section 11022 of Title 42 of the United <br /> States Code. An annual electronic submittal satisfies these requirements. The annual business plan shall be <br /> submitted/certified by January 15 of each calendar year and may be submitted beginning November 1 of the <br /> previous year. <br /> CORRECTIVE ACTION: Immediately log into the CERS at http://cers.calepa.ca.gov/, review and submit/certify the <br /> current information. <br /> This is a repeat violation, Class 11. <br /> FA0017683 PR0541531 SCO01 06/23/2021 <br /> EHD 19-01 Rev.9/16/2020 Page 2 of 5 Hazardous Materials Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />